Archive for critical care
From ICU patient to nursing student: Atiana’s heart journey
Atiana Lancaster was 13 and playing the last few games of lacrosse season in 2015 when she started having unusual — and worrying — symptoms. “I had horrible headaches, tiredness, chest pain, and trouble breathing, so I had to keep going off the field when I was playing,” she says. “At the time, I thought ... Read More
Beating the odds and infantile scoliosis: Colin’s story
Colin Newton has a way of surprising people. Born with a rare neuromuscular disorder, he spent the first three months of his life in the intensive care unit (ICU) struggling to breathe. Two and a half years later, and eight months after he underwent spinal surgery for infantile scoliosis, Colin went skiing for the first ... Read More
The polio outbreak of 1955: Lessons from an epidemic
“This is going to be a tough year.” Claire McCarthy was a young physical therapist in early March 1955 when orthopedic surgeon Dr. David Grice, made this observation. At the time, Boston Children’s Hospital was the receiving center for adults and children with polio in New England. The hospital typically saw an upsurge in cases ... Read More
A snapshot of COVID-19 in children admitted to the PICU
Experts have recently warned of cases of serious inflammatory illness in children possibly related to COVID-19. But a report in JAMA Pediatrics this week reinforces the fact that serious complications have been rare in children with the new coronavirus, especially if they have no underlying health conditions. The new study represents the first cross-sectional, multi-hospital ... Read More
COVID-19 and a serious inflammatory syndrome in children: Unpacking recent warnings
On April 27, an alert circulated from the U.K. about multi-system inflammatory disease in children with COVID-19, based on a small rise in the number of critically ill children with this illness in England. Picked up by multiple media outlets, the alert cited features of toxic shock syndrome and incomplete Kawasaki disease, with some children ... Read More
Otolaryngology care during the COVID-19 pandemic
With the rapid spread of COVID-19, health care institutions around the globe have quickly revised their standard practices and policies to address the crisis. Protecting clinicians from infection is more critical than ever, particularly in high-risk fields such as otolaryngology. Yet the lack of clear guidelines and shortages of testing materials and personal protective equipment ... Read More
Online ventilator training addresses COVID-19 clinician shortage
While hospitals around the nation and the world scramble to locate enough mechanical ventilators to treat an influx of patients with COVID-19, many also fear a clinician shortage that will grow worse as the pandemic continues. “COVID-19 is straining the critical care workforce in ways we have never seen before,” says Traci Wolbrink, MD, associate ... Read More
Beware probiotics in ICU patients
It’s become common for patients in the intensive care unit (ICU), both children and adults, to receive probiotics. Often, they are started at home to counteract diarrhea caused by antibiotics. There is also interest in using probiotics proactively in the ICU. A large multicenter clinical trial in Canada is testing whether probiotics would prevent ventilator-associated ... Read More
My nursing story: Harriett Nelson
Harriett Nelson, CCRN, NRP, is a staff nurse III with the Critical Care Transport Team at Boston Children’s Hospital. Before becoming a nurse on the Critical Care Transport Team (CCTT) in 2005, I was a bedside nurse in the Medical-Surgical ICU (MSICU), where I was introduced to palliative care. We all know that the doctors, ... Read More